| NPI | 1215717608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 25455) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 25455) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-10-03 |